Wellness Self-Assessment
Signs and Symptoms Review
Tick the items that are most relevant to you
This questionnaire is designed as a general wellness screening tool to help you reflect on symptoms and patterns that may be worth exploring further as part of a broader health review.
Questionnaire Score Guide
0–5 = Lower score
You may wish to continue focusing on everyday wellness habits and balanced nutrition.
6–10 = Mild score
You may wish to explore simple daily wellness support options.
11–20 = Moderate score
You may wish to consider a more structured wellness routine and review the support options available.
21–30 = Higher score
You may wish to consider a hair mineral analysis and explore longer-term wellness support options.
31–49 = Elevated score
You may wish to consider a hair mineral analysis and review the more comprehensive wellness support options available.
Important: This questionnaire is for educational and wellness purposes only. It is not intended to diagnose any condition or replace professional medical advice.
You can also download this questionnaire in PDF format
HEAVY METAL SIGNS & SYMPTOMS | YES or NO |
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2. Do you frequently notice brain fog or trouble concentrating? | |
3. Do you often experience digestive discomfort such as bloating, gas, constipation, or loose stools? | |
4. Have you noticed changes in your skin, such as dryness, irritation, rashes, or breakouts? | |
5. Do headaches or migraines regularly interfere with your day? | |
6. Have you experienced unexplained muscle or joint discomfort, stiffness, or weakness? | |
7. Do you often feel anxious, low, irritable, or emotionally flat without a clear reason? | |
8. Have you noticed changes in vision, such as blur, light sensitivity, or difficulty focusing? | |
9. Do you have trouble falling asleep, staying asleep, or waking refreshed? | |
10. Have you experienced weight changes or difficulty managing weight despite healthy habits? | |
11. Do you often notice tingling or numbness in your hands or feet? | |
12. Have you noticed more mood swings or increased irritability? | |
13. Do you frequently experience coughing, wheezing, or shortness of breath? | |
14. Have you noticed unusual tastes or smells, such as metallic or bitter sensations? | |
15. Do you often feel dizzy or lightheaded, especially when standing quickly? | |
16. Have you noticed increased hair shedding or changes in hair texture? | |
17. Have you noticed changes in your nails, such as ridges, brittleness, or discoloration? | |
18. Do you often feel puffy, achy, or inflamed without a clear reason? | |
19. Have you noticed slower thinking, difficulty processing information, or reduced mental sharpness? | |
20. Do you experience unexplained tremors, shakiness, or internal vibration sensations? | |
21. If applicable, have you noticed changes in menstrual pattern or discomfort? | |
22. Do you feel weak or unusually fatigued after small amounts of activity? | |
23. Have you noticed slow healing, unusual skin marks, or changes in skin colour? | |
24. Do you often feel persistently sad, hopeless, or less interested in activities you usually enjoy? | |
25. Have you noticed changes in teeth or gums, such as more sensitivity or dental problems? | |
26. Do you frequently notice unexplained swelling or fluid retention? | |
27. Have you noticed changes in libido or sexual wellbeing? | |
28. Do you often feel uncomfortable after meals, such as bloating, gas, or indigestion? | |
29. Have you noticed more clumsiness or difficulty with fine movements? | |
30. Do you often feel forgetful or have trouble recalling recent information? | |
31. Have you noticed unusual odours or taste changes without a clear cause? | |
32. Do you often experience recurring headaches? | |
33. Have you noticed thinning hair, brittleness, or texture changes? | |
34. Do you frequently feel faint or lightheaded when changing position? | |
35. Have your sleep patterns changed noticeably? | |
36. Do you often notice stiffness, joint discomfort, or general inflammatory-type symptoms? | |
37. Have you noticed emotional or behavioural changes that feel unlike your usual self? | |
38. Have you noticed changes in urinary frequency or urgency? | |
39. Do you seem to pick up infections often or take longer to recover than expected? | |
40. Have friends or family commented on changes in your mood or behaviour? | |
41. Do you often feel overwhelmed by everyday stress? | |
42. Have you noticed increased cravings or a reduced appetite? | |
43. Do you seem more sensitive than usual to foods, smells, chemicals, or environmental triggers? | |
44. Do your energy levels fluctuate a lot through the day? | |
45. Do you experience feelings of anxiety or panic without a clear trigger? | |
46. Have you noticed changes in balance or steadiness? | |
47. Do you experience muscle twitching or spasms without a clear reason? | |
48. Have you noticed ringing in the ears or changes in hearing? | |
49. Do you often feel unmotivated, apathetic, or low in drive? |
Your response summary
Total Yes answers: ____________________
Lower score: 0-5 Mild: 6-10 Moderate: 11-20
Higher: 21-30 Elevated: 31-49
If you would like to learn more, you may wish to explore a HMD® HAIR MINERAL ANALYSIS TEST and review the available wellness support options below.
Important note
This self-assessment is for educational and wellness purposes only. It is not a medical test and is not intended to diagnose, treat, cure, or prevent any disease.
For more information, visit detoxmetals.com
Explore Your Wellness Options
- Score 6-10 – you may wish to explore the 30-Day HMD Wellness Pack
- Score 21-30 – you may wish to review the 60-Day HMD Wellness Pack
- Score 31-49 – you may wish to consider a hair mineral analysis test and explore the 90-Day HMD Wellness Pack